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Organization

POLUN MEDICAL REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENDAN J POLUN DO (PRESIDENT)
(719) 457-6200
Entity
Organization

Contact information

Practice address
1001 W MINERAL AVE, LITTLETON, CO 80120-4507
(719) 457-6200
Mailing address
10181 E FAIR CIR, ENGLEWOOD, CO 80111-5449
(719) 457-6200
(303) 363-5142

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000151194
CO
Enumeration date
08/07/2017
Last updated
07/01/2020
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